Individual provider Active NPI

David Stryker Beaumont, D.C.

  • Chiropractor
  • Langhorne, PA
National Provider Identifier
1174642888
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001678L Issued in PA
Practice address
457 Woodbourne Rd
Langhorne, PA 19047-4301
Phone
(215) 752-1156
NPI assigned
Mar 27, 2007
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001678L PA Primary

Addresses

Primary practice location

457 Woodbourne Rd
Langhorne, PA 19047-4301

Mailing address

457 Woodbourne Rd
Langhorne, PA 19047-4301
Phone (215) 752-1156

Other identifiers 4

IdentifierTypeStateIssuer
0023255000OtherPABC BS PERSONAL CHOICE
J84711OtherPAAMERIHEALTH
0000084711OtherPABC BS OF PA
000084711OtherPAHIGHMARK BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1174642888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 WOODBOURNE RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190474301",
            "telephone_number": "215-752-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 WOODBOURNE RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190474301",
            "telephone_number": "215-752-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUMONT",
        "first_name": "DAVID",
        "middle_name": "STRYKER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001678L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PERSONAL CHOICE",
            "identifier": "0023255000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "J84711",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF PA",
            "identifier": "0000084711",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "000084711",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.